Northwestern EM Blog

DECEMBER 20, 2021

The Kocher Criteria (originally developed in 1999 and validated in 2004) can be helpful in determining the likelihood of septic arthritis [6]. Management includes imaging studies, typical ultrasound to assess for a joint effusion, then a diagnostic arthrocentesis & antibiotics. Typically presenting with fevers and abnormal labs.

Pediatrics 52

Pediatrics Ultrasounds Emergency Department Radiology 52

Dr. Smith's ECG Blog

OCTOBER 17, 2024

I would do bedside ultrasound to look at the RV, look for B lines as a cause of hypoxia (which would support OMI, and argue against PE), and if any doubt persists, a rapid CT pulmonary angiogram. As for the ECG, it could represent OMI, but RBBB is also a clue that it may be PE.

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EKG/ECG EMS Shock Ultrasounds 76

Pediatric Emergency Playbook

JUNE 1, 2017

2004; 90:e17. 2004; 110:e511-e513. Cardiovasculr Ultrasound. 2004; 114(2):255-258. Chacko P et al. 2004; 89:359-362. A case of anomalous origin of the left coronary artery presenting with acute myocardial infarction and cardiovascular collapse. African Health Sci. 2014; 14(1): 23-227. Andrews RE et al.

Pediatrics 52

Pediatrics EKG/ECG Wellness Seizures 52

PulmCCM

OCTOBER 16, 2023

per 1,000 catheter-days in a 2004 analysis across Michigan (or about 1 infection for every 40 people with a CVC for 10 days). Most central lines in the ICU are placed under ultrasound guidance in the internal jugular vein, representing a perceived middle ground of risk for pneumothorax and infection prevention.

CDC 52

CDC Hospitals Ultrasounds Documentation/Coding 52

Don't Forget the Bubbles

MAY 28, 2024

Were there any abnormalities on ultrasounds? So here, we must think about the risk factors for PPHN. Does the baby look septic? Are they covered in meconium? Were there any concerns during the pregnancy? Identifying the cause (if at all possible) definitely helps treatment. How do you manage PPHN? Great Ormond Street Hospital.

Sepsis 52

Sepsis Ultrasounds Pediatrics Research 52

Pediatric Emergency Playbook

SEPTEMBER 1, 2015

Was there any prenatal care or ultrasound done? Philadelphia, PA, Lipincott Williams & Wilkins, 2004. Do a total body check. Heart disease or Hypovolemia - is there a history of congenital heart disease? Look for clitoromegaly in girls, or hyperpigmented scrotum in boys. Newborn Emergencies: The First 30 Days of Life.

Seizures 40

Seizures Sepsis Pediatrics Shock 40

ALiEM

MARCH 7, 2024

Given her pain with a history of intermittent hematuria and dysuria, you perform a renal and bladder point of care ultrasound (POCUS) examination. Pre-warmed ultrasound gel is helpful when available. Then test your skills on the ALiEMU course page to receive your PEM POCUS badge worth 2 hours of ALiEMU course credit.

Ultrasounds 70

Ultrasounds Pediatrics Radiology Radiology 70

Don't Forget the Bubbles

AUGUST 9, 2023

His thyroid ultrasound is normal, and thyroid antibodies are negative. Six months later, his weight and height remain normal, he still does not have a goitre and his thyroid ultrasound is unchanged. She has a normal thyroid ultrasound and negative anti-microsomal and anti-thyroglobulin antibodies. She also has a goitre.

Ultrasounds 98

Ultrasounds Pediatrics Wellness 98

Don't Forget the Bubbles

JANUARY 17, 2024

Closer to home, the New South Wales Poisons Information Centre (NSWPIC) reported 129 incidents involving water-absorbing beads since 2004. Abdominal ultrasound, used in 34 cases, was able to visualize a rounded intraluminal image corresponding to a bead in 28 patients. Again, the majority were managed at home. Kim, Y.B., and Kim, J.H.,

Pediatrics 111

Pediatrics Poisoning Ultrasounds Dehydration 111

Don't Forget the Bubbles

JULY 17, 2023

Reviews and opinion articles Point-of-care ultrasound in pediatric nephrology. 2023 Jun 14;46:8-23 One-year survival and outcomes of infants born at 22 and 23 weeks of gestation in Sweden 2004-2007, 2014-2016 and 2017-2019. You will find the list is broken down into four sections: 1.Reviews Sethi SK, et al. Pediatr Nephrol.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

Pediatric Emergency Playbook

AUGUST 1, 2017

2004; 199(4):628-635. Hypertrophic pyloric stenosis: tips and tricks for ultrasound diagnosis. J Ultrasound. The non-diagnostic ultrasound in appendicitis: is a non-visualized appendix the same as a negative study? Utility of MRI After Inconclusive Ultrasound in Pediatric Patients with Suspected Appendicitis.

Pediatrics 52

Pediatrics Ultrasounds Resuscitation Sepsis 52

Dr. Smith's ECG Blog

NOVEMBER 15, 2023

The problem is difficult to study because angiographic visualization of arteries is not perfect, and not all angiograms employ intravascular ultrasound (IVUS) to assess for unseen plaque or for plaque whose rupture and ulceration cannot be seen on angiogram. N Engl J Med [Internet] 2013;368(21):2004–13. Available from: [link] 4.

EKG/ECG 111

EKG/ECG Ultrasounds Wellness Stroke 111

Dr. Smith's ECG Blog

NOVEMBER 30, 2022

This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. N Engl J Med [Internet] 2013;368(21):2004–13. It can only be seen by IVUS.

EKG/ECG 52

EKG/ECG Emergency Department Ultrasounds Hospitals 52

PHEM Cast

DECEMBER 1, 2017

Ultrasound determination of chest wall thickness: implications for needle thoracostomy. Ultrasound in Emergency Medicine. Marasco, S., Hoyle, R., & Kossmann, T. Pleural decompression and drainage during trauma reception and resuscitation. Injury , 39 (1), 9–20. link] Givens, M. Ayotte, K., & Manifold, C. C., & MD, J.

Academics 52

Academics Radiology Radiology Resuscitation 52

Urgent Care Ultrasounds

SEPTEMBER 14, 2020

Next stop – ultrasound… Right anterior chest – multiple B lines Left anterior chest – again multiple B lines Normal LV systolic function Disposition The ultrasound findings of bilateral B lines (B profile) with normal LV systolic function supported the presumtive diagnosis of swimming induced pulmonary oedema.

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Urgent Care Ultrasounds Hospitals 40

EMDocs

OCTOBER 23, 2023

Diagnosis can be confirmed with ultrasound (for deep vein thrombosis) or CT angiography (CTA) chest (for pulmonary embolism) and patients treated with anticoagulants. Complications after benign hysterectomy, according to procedure: a population-based prospective cohort study from the Danish hysterectomy database, 2004-2015. March 2014.

OB/GYN 78

OB/GYN Operations EMS Ultrasounds 78

ACEP Now

APRIL 4, 2024

The diagnosis is confirmed with bedside ultrasound (US) or CT. Ultrasound of the aorta is a core competency of emergency physicians, but resources such as Sonoguide are available for a refresher at acep.org/sonoguide. 2004 Apr;39:788-91. About 35 percent of individuals with rAAA will die at home. J Vasc Surg. Eur J Emerg Med.

Operations 40

Operations Ultrasounds Emergency Department 40

Pediatric Emergency Playbook

JANUARY 1, 2017

mg/kg IV, up to 10 mg ) ( Brousseau 2004 ), often given with diphenhydramine (1 mg/kg PO or IV, up to 50 mg) and IV fluids. Ultrasound-guided peripheral nerve blocks are a good pain control adjunct, after initial treatment, and in communication with referring consultants ( Ganesh 2009 , Suresh 2014 ). 2004 Feb;43(2):256-62.

Pediatrics 40

Pediatrics Soft Tissue Injuries Burns Emergency Department 40

Taming the SRU

AUGUST 30, 2023

Bacterial Meningitis: IDSA guidelines for 2004 report that a normal CRP value has a high negative predictive value for bacterial meningitis, but sensitivities and specificities vary between studies [35]. Instead, they strongly advocated for the use of lung ultrasound to diagnose bacterial CAP [45]. Cleve Clin J Med. doi: 10.3949/ccjm.75.8.557.

Infectious Diseases 88

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 88

PulmCCM

SEPTEMBER 23, 2021

With the explosion of bedside ultrasound and automated methods to capture LVEF, the ejection fraction will grow in clinical prominence and affect decisions for the acutely-ill. New England Journal of Medicine 2004, 351(11):1097-1105. Jon-Emile S. Critical care 2016, 20(1):270. Aurigemma GP, Gaasch WH: Diastolic heart failure.

Stroke 40

Stroke Sepsis Shock Ultrasounds 40

Don't Forget the Bubbles

JANUARY 27, 2025

While you dip a urine to rule out UTI , DKA and pregnancy, take bloods, speak to the general surgical registrar to rule out appendicitis and scramble to get an ultrasound before the close of play, the clock is ticking on the lifespan of that ovary This article aims to shine a light on a difficult diagnosis. Mansuria S.M, Donnellan N.M

Ultrasounds 76

Ultrasounds Emergency Department Pediatrics Dehydration 76

Dr. Smith's ECG Blog

APRIL 8, 2015

Check : [vitals, SOB, Chest Pain, Ultrasound] If the patient has Abdominal Pain, Chest Pain, Dyspnea or Hypoxemia, Headache, Hypotension , then these should be considered the primary chief complaint (not syncope). Aortic Dissection, Valvular (especially Aortic Stenosis), Tamponade. Good History and Physical exam, including a.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

EMDocs

JANUARY 20, 2025

Over the last few years, however, ultrasound has been increasingly playing an important role in the conversation with multiple studies looking at using ultrasound to predict fluid responsiveness in septic patients – for example, using the velocity time integral with passive leg raise. 2004 Jan-Feb;17(1):37-43. Tullo et al.

Dehydration 69

Dehydration Fluid Resuscitation Sepsis Resuscitation 69